Texas Cup 2005
     Online Registration
Saturday September 3rd, 2005

 

Instructions for Online registration:

1) Please fill out the form below completely.
2) Complete a registration form for each family member/ school/club member.
3) To receive the second family member discount please choose the "Second family member" button on the payment page.

Competitor Information:

First Name  

Last Name

 
Street Address

State

 
City  

Phone

 
Zip Code  

Email

 

Degree (Black) “Dan” OR (color belt )“Gup"

School/Club Name  
Phone  

City

 
Street Address  

State

Zip Code  
Master/Instructor/Coach's Name  

 Additional Competitor Information
Sex 

 Male       Female

 Weight

Height

Belt Color

Black   Red/Brown  Blue/Purple Green /Gold  Yellow/OrangeWhite
Date of Birth

Age Today

Age Division

5 Under 6-7yrs8-9yrs 10-11yrs 12-13yrs 14-15yrs 16-17yrs 

   

 

18-32yrs 33-40yrs 41& up

Let it be Known Hereunto that the terms , We, Me, My Herein, Registrant, on this document to the person registering for this competition and or his/her representatives., i.e. Parents and Guardians Herein.

I the under signed hereby waive any and all claims against all persons connected with this Texas Cup 2005 September 3rd its sponsor organizations, volunteers, staff and officials. I/we assume any and all loss to our child or others. I/we clearly understand the fighting aspects of this sport "Taekwondo" and acknowledge that competition involves bodily contact. I/we waive any and all claims of damage against USA Taekwondo and all its principals, agents representatives, and employees, volunteers and or Facilities Owner Administrators of and from any and all claims resulting from this event, or traveling to and from this event. I understand that this agreement  is non revocable. I/we also understand that any  pictures or video of me or by me may be used for publicity without compensation to me, my hereins or representatives at this or any other time. Furthermore, I understand that because of the No Refund Policy any monies paid are not refundable under any circumstances.

Furthermore With this I am asserting that I, Me, We, my child  am/is fully insured therefore and therefore ready to participate in this prestigious high level competition event. I/We also know that for this registration to be accepted it it must be thoroughly completed.

**I ascertain that I have read this disclaimer and understand that By submitting this form you agree to all of the conditions and aspects of the disclaimer. If under 18yrs  parent/guardian assumes complete responsibility.  

2) Register by pressing the "Pay Now" button